Individual
BRANDI DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 LEA AVE, NASHVILLE, TN 37210-3526
(201) 526-8484
(615) 610-0749
Mailing address
10340 GOFF RIDGE RD, BAXTER, TN 38544-6907
(201) 526-8484
(615) 610-0749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174214
TN
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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